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Unrefined Oil SPCC Plan: Discharge Notification Form Mobile App

The purpose of the Unrefined Oil SPCC Plan: Discharge Notification Form mobile app is to describe measures implemented to prevent oil discharges from occurring, and to prepare to respond in a safe, effective, and timely manner to mitigate the impacts of a discharge, but is intended to be used during emergency response. This app has been prepared to meet the requirements of Title 40, Code of Federal Regulations, Part 112 (40 CFR part 112), and supercedes the earlier Plan developed to meet provisions in effect since 1974. The app documents a Discharge Notification Form using a smartphone or tablet. Once completed a PDF is created that can easily be emailed and stored. GoCanvas allows this app's data to be included in an auto-generated e-mail.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Unrefined Oil SPCC Plan: Discharge Notification Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    General information when reporting a spill to outside authorities:

  • Ico textbox

    Name:

  • Ico textbox

    Address:

  • Ico textbox

    Telephone:

  • Ico multiline

    Owner/Operator:

  • Ico multiline

    Primary Contact:

  • Ico textbox

    Type of oil:

  • Ico textbox

    Quantity released:

  • Ico textbox

    Quantity released to a waterbody:

  • Ico textbox

    Location/Source:

  • Ico multiline

    Actions taken to stop, remove, and mitigate impacts of the discharge:

  • Ico statictext

    Affected media:

  • Ico checkbox

    air

  • Ico checkbox

    water

  • Ico checkbox

    soil

  • Ico checkbox

    storm water sewer/POTW

  • Ico checkbox

    dike/berm/oil-water separator

  • Ico checkbox

    other

  • Ico textbox

    other:

  • Ico textbox

    Notification person:

  • Ico textbox

    Telephone contact:

  • Ico textbox

    Business:

  • Ico textbox

    24-hr:

  • Ico multiline

    Nature of discharges, environmental/health effects, and damages:

  • Ico multiline

    Injuries, fatalities or evacuation required?

  • Ico dropdown

    List Item

  • Ico multiline

    Contact Information

  • Ico date

    Date

  • ...and More!

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